Long-term experience with the double-cuff AMS 800 artificial urinary sphincter

Kowalczyk, John J.; Spicer, Donald; Mulcahy, John J.

doi:10.1016/s0090-4295(96)00042-8

Cited by 39 publications

(13 citation statements)

References 9 publications

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“…If other causes of increasing incontinence have been ruled out by this protocol and the number of pump cycles to completely empty the cuff has increased, then urethral atrophy under the cuff has occurred. Possible revision procedures for this problem include cuff down sizing [17], tandem cuff placement [18], or transcorporeal cuff placement [19]. …”

Section: Resultsmentioning

confidence: 99%

Artificial Urinary Sphincter: Long-Term Results and Patient Satisfaction

Montague

2012

Advances in Urology

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The published evidence concerning the safety, efficacy, and patient satisfaction for implantation of the current model of the artificial urinary sphincter (AS 800) in men with post prostatectomy urinary incontinence was the objective of this review. A Pub Med English language literature search from 1995 to 2011 was performed. A majority of men who undergo AUS implantation for post prostatectomy urinary incontinence achieve satisfactory results (0 to 1 pad per day). Infection rates range from 0.46 to 7%, cuff erosion rates range from 3.8 to 10%, and urethral atrophy ranges from 9.6 to 11.4%. Kaplan-Meier 5 year projections for freedom from any reoperation were 50% for a small series and 79.4% for a larger series. Kaplan-Meier projections for freedom from mechanical failure were 79% at 5 years and 72% at 10 years. In another series 10 year projections for freedom from mechanical failure were 64%. Although the artificial urinary sphincter (AUS) is the gold standard for the treatment of this disorder, most men will continue to need at least one pad per day for protection, and they are subject to a significant chance of future AUS revision or replacement.

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Section: Resultsmentioning

confidence: 99%

Artificial Urinary Sphincter: Long-Term Results and Patient Satisfaction

Montague

2012

Advances in Urology

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“…26,72,73 (C) Even catheters suitably placed for short periods can be detrimental to the long-term survival of the device. Authors have demonstrated a greater risk of erosion in patients who were catheterized for more than 48 hours at any time after the placement of the AUS.…”

Section: (A)mentioning

confidence: 99%

Male urinary incontinence: Artificial sphincter

Truzzi

Sacomani

Prezotti

et al. 2017

Rev. Assoc. Med. Bras.

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The Guidelines Project, an initiative of the Brazilian Medical Association, aims to combine information from the medical field in order to standardize procedures to assist the reasoning and decision-making of doctors. The information provided through this project must be assessed and criticized by the physician responsible for the conduct that will be adopted, depending on the conditions and the clinical status of each patient.

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“…Patients with bladder dysfunction (e.g., decreased compliance, detrusor overactivity) appear to bene fi t to similar degrees compared to patients with normal bladder function [ 198,239,245,251,252 ] . Despite evidence suggesting double-cuff placement for severe incontinence may improve urinary control or quality of life outcomes [253][254][255] , longer-term follow-up suggests patients may not experience better outcomes and may be more likely to require surgical revision [ 256 ] . Revisions are necessary over time; however, most patients still maintain satisfaction following repeated surgery and can achieve satisfactory urinary outcomes [257][258][259] .…”

Section: Arti Fi Cial Urinary Sphinctermentioning

confidence: 99%

Urinary Incontinence

Skolarus

2012

Prostate Cancer: A Comprehensive Perspective

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Long-term experience with the double-cuff AMS 800 artificial urinary sphincter

Cited by 39 publications

References 9 publications

Artificial Urinary Sphincter: Long-Term Results and Patient Satisfaction

Artificial Urinary Sphincter: Long-Term Results and Patient Satisfaction

Male urinary incontinence: Artificial sphincter

Urinary Incontinence

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